Multispecialty community provider framework

In 2015/16, during the first year of the new care models programme, the 14 MCP vanguards focused on defining and establishing their local MCP plans. In year two they focused on implementing, testing and refining these plans whilst measuring the impact on patients, staff and partner organisations.

Now in the third year of the programme, the vanguards are being supported to drive forward the delivery of their MCP’s. This includes fully implementing the care model as defined in the MCP framework and shaping approaches to commissioning for an MCP through contracting.

Many of the MCP vanguards have been involved in designing participation options for GPs and identifying the implications of these new organisational forms.

A further aspect for the vanguards during the final year of the programme is supporting others to learn from their experience, to expand and spread their care models through Sustainability and Transformation Partnerships (STPs), which are key to the future delivery of health and care services.

Accountable Care Organisation (ACO) Contract

The MCP framework signalled that we would make available a contract for use in commissioning the MCP model. A draft contract was published in December 2016 for a period of public engagement and informal feedback.

An updated version of the Accountable Care Organisation (ACO) Contract is now available which takes into account this engagement feedback and is ready for use by early sites. Importantly, the Contract can now be used for accountable care models generally including both MCP and integrated primary and acute care systems (PACS) models.

Alongside the Contract, and to assist those who are likely to use it early on, we are sharing an updated series of supporting, explanatory documents.

The ACO Contract has been produced following intensive joint work with a number of vanguards with whom we are co-developing the approach to ensure that the Contract is able to help facilitate local plans.